Health Data CheckOverview

Jason Friesen, Executive Director

Pioneer Health Network

Pioneer Health Network

The Network was formed in 1995 and incorporated as a 509(a)(3) in 1997.

16 Hospitals (All county-owned except one)

Largest are 99 & 87 Beds in counties of 35,000 and 20,000 respectively.

The others are Critical Access Hospital size in counties that average 3,500 population.

11 members own long-term care services.

13 own physician practices.

Health Data Check (HDC)

Data from over 120 hospitals and 70 CAHs across the country

Developed by rural hospitals for rural hospitals

Currently includes operational, financial and productivity data.

Project began in 1999

Benchmark

Your

Hospital

National Avg.

<100 beds

Labor Hours per adjusted Patient Day

35 25

Supplies as a % of Net Patient Revenue

30% 27%

These Programs have many disadvantages: I’m a CAH, I can’t compare to a 99 bed hospital! I have Long-Term care which changes my dynamics, do any of

my peer group? How do their operations allow for an average of 10 hrs per

patient day less than mine? Who can I call to get some answers?

Why did we create our own program?

Health Data Check

As a Network: You can share identities with each other. Make hospital-to-hospital comparisons. Learn directly from regional peers as to how they have obtained certain efficiencies. Utilize current Network-based peer group forums to analyze the data.

Benchmark

Your

Hospital

Hosp

A

Hosp

B

Hosp

C

Network

Avg

System

Avg

Labor Hours per adjusted Patient Day

35 30 22 20 27 25

Supplies as a % of Net Patient Revenue

30% 25% 29% 24% 30% 27%

1.               Outpatient Revenue as a % of Total Patient Revenue2.               Gross Patient Revenue per Adjusted Patient Day3.               Net Patient Revenue per Adjusted Patient Day4.               Contractual % of Gross Patient Revenue5.               Bad Debt % of Net Patient Revenue6.               Labor Cost per paid Hour (exclude Providers)7.               Benefits as a % of Total Salaries and Wages8.               Supplies % of Net Patient Revenue9.               Gross Days in Accounts Receivable10.         Operating Margin: (All revenues except Non-Operating/Total Expenses) %11.         Tax Subsidies as a % of Operating Revenue12.         Total Margin: (All revenues/All expenses)%13.         Current Ratio: (Current Assets/Current Liabilities)14.         Unbilled Days in Accounts Receivables15.         Net Hospital Patient Revenue16.         Salaries as a % of Total Hospital Expense17.         Salaries as a % of Net Patient Service Revenue18.         Hospital Administrative Expense per Adjusted Patient Day19.         LTCU Average Cost per Day20.         LTCU Supplies Exp per Day21.         Clinic Salary Expense as a % of Gross Clinic Revenue22.         Clinic Supply Expense as a % of Gross Clinic Revenue 

Financial Benchmarks

Operational Benchmarks1.    Respiratory Therapy: Margin

a.    Average Cost per Treatmentb.    Number of Treatments

2.    Physical Therapy: Margina.    Average Cost per Treatmentb.   Number of Treatments

3.    Laboratory: Margina.    Average Cost per Testb.   Number of Tests

4.    Basic Diagnostic (X Rays): Margina.    Average Cost per Testb.   Number of Test

5.    Mammography: Margina.    Average Cost per Testb.   Number of Tests

6.    Ultrasound: Margina.    Average Cost per Testb.   Number of Tests

7.    CT Scan: Margina.    Average Cost per Testb.   Number of Tests

8.    MRI Scan: Margina.    Average Cost per Testb.   Number of Tests

9.    Pharmacy: Margina.    Average Cost per Charged Unitb.   Number of Units

10. Dietary: Average Cost per Mealc.    Number of Meal Equivalents

11. Laundry: Average Cost per Pounda.    Number of Pounds

12. Housekeeping: Avg Cost per Sq.Ft. Cleaneda.    Number of Square Footage Cleaned

13. Electricity: Average Cost per Facility Sq Fta.    Number of units used

14. Natural Gas: Avg Cost per Facility Sq.Ft. a. Number of units used

15. Business Office: Avg Cost to Collect a Dollar

Statistical/Productivity1. Adjusted Patient Days2. Average Length of Stay - Acute3. Total labor hours per APD (Adjusted Patient Day)4. Hospital -Total Nursing hours per APD5. Hospital -RN hours per APD6. Hospital -Nurse Aid hours per APD7. Hospital -LPN hours per APD8. LTCU – Total Nursing hours per Patient Day9. LTCU – RN hours per Patient Day10. LTCU – Nurse Aid hours per Patient Day11. LTCU – LPN hours per Patient Day12. Clinic – Nursing hours per visit13. Clinic- Business office hours per visit14. Lab hours per Billed Test15. Respiratory hrs per Billed Treatment16. Dietary hrs per meal17. Med Records hrs per APD18. Radiology hrs per procedure19. Housekeeping hrs per sq. ft. cleaned20. Physical Therapy hrs per treatment21. Business Office hrs per APD

You can select bar-graph reports for a specific benchmark

or you can select a datasheet report including all of the benchmarks in a category.

Reports

deskHDC

Incident management software program.Developed in partnership with Nevada Rural Hospital Partners (14-member hospitals).Uploads data to web based application (webHDC) to provide aggregate reporting Will add CAH specific quality indicators from 8th scope of work when released

deskHDC RiskManagement Program

The program is installed on the Risk Manager’s computer.The database is installed on your hospital’s computer network, with restricted access rights.Report follow-up performed by the Risk Manager who has managerial rights in the system.Departments within the hospital can add incident reports to the system.

deskHDC, Cont.

The Risk Manager can modify the incident report and access a follow-up/investigation option only available to them.

Incident information can be uploaded to webHDC for comparison purposes.Note: physician, patient and other PHI is

not uploaded. Individual hospitals are not identified in the report output.

deskHDC The application resides on your own hospital network

Easy to use data input screens

Imported from initial incident documentation

Reviewer completes by writing in comments

Standard of care is assigned to each person involved in the incident

This document is completed by hand and returned to the Risk Manager

The form is then filed and the information entered into the investigation form in DeskQDC

Form printed within DeskQDC

The results of the investigation are entered into DeskQDC and saved

SLIP/FALLPROCEDURE/TESTEQUIPMENT/SUPPLIESAMA/ELOPEMENTMEDICATIONCARDIAC/RESPIRATORY ARRESTINTRAVENOUS/BLOOD TRANSFUSIONSECURITY/SAFETYCOMPLAINTSSKIN INTEGRITYEMTALASURGERYANESTHESIAEMERGENCY DEPARTMENTOB/GYN/NURSERYMEDICAL/SURGICALLONG TERM CAREHOME HEALTH/HOSPICE

MAJOR CATEGORIES:

A variety of report generating capabilities using Crystal Reports

Dashboard Report

SummaryMeet quality reporting requirements while maintaining relevance in a rural setting .

Manage your incidents in a consistent and efficient manner.

Use trending and reporting tools as a basis for staff education and programs to improve quality of patient care.

Tool developed with direct input from rural/CAH hospital staff.

Project Next Steps

Explore partnership opportunities with KHA/KDHE QHI system.Make deskHDC and webHDC available to existing Health Data Check clients by 12/31/06Expand distribution of deskHDC and webHDC to other rural hospitals in calendar 2007Develop tool for measuring patient and employee satisfaction (Survey Data Check) by 12/31/06Develop means for consolidating data from all measurement tools in one location (Performance Data Check) by 12/31/06Integrate workman’s comp and infection control recording/reporting capabilities within deskHDC.

Survey Data Check (SDC)

Web based survey processing and reporting applicationMeasurement indicators for patient and employee satisfactionProvide ability to upload data to PDC to produce dashboard reportingAssess becoming an approved vendor for the consumer assessment of healthcare providers and systems ( CAHPS ) program and adding their survey indicators to SDC

Performance Data Check(PDC)

Web based tool that provides the user a dashboard view of all data check applications and support for an organization’s balance scorecard (elements to be defined)

HDC – Operational and Financial Indicators webHDC – web based Quality Indicators deskHDC – local PC based Quality Indicators SDC- Employee and patient satisfaction indicators

Contact Information

Jason Friesen(620) 276-7700 jason@phn.org

Mary Adam(620) 276-6100 mary@phn.org